Inspection on 05/07/06 for Springfield Care Home

This inspection was carried out on 5th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Springfield Care Home 18/12/08

Springfield Care Home 28/02/06

Springfield Care Home 28/07/05

Springfield Care Home 07/03/05

Springfield Care Home 11/11/04

Springfield Care Home 04/03/04

Similar services:

Ashlong House

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Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Springfield Care Home 45 Grove Road Walthamstow London E17 9BL Lead Inspector Rob Cole Key Unannounced Inspection 5th July 2006 10:00 Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Care Home Address 45 Grove Road Walthamstow London E17 9BL 020 8520 7429 020 8520 9131 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Mahendra Pratap Rambojun *** Post Vacant *** Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Springfield Care Home is a residential home providing care and support to three adults with learning disabilities. The home is situated in a residential area of Walthamstow in the London Borough of Waltham Forest, and is close to shops, transport networks and other local amenities. The home is in keeping with other homes in the area. The home is privately run. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 5/7/06, and was unannounced. The inspector had the opportunity of speaking with service users, staff and health professionals. The acting manager was present throughout the inspection, and the homes proprietor was present for part of the inspection. Overall the inspector was satisfied that this is a well run home, and that service users receive high levels of individual support. Service users spoken to on the day of inspection informed the inspector that they are very happy living at the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are provided with sufficient information about the home before making a choice as to move in or not, through written documentation and visits to the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place. Both documents are written in plain English, and they have also been produced in audio format to help make them more accessible to service users. The Statement includes details of the homes organisational structure and aims and objectives, while the Guide includes a description of the homes physical environment and a copy of the complaints procedure. Both documents are in line with National Minimum Standards (NMS), and are subject to regular review. The acting manager outlined the homes admission procedure. They informed the inspector that after an initial referral, a pre admission assessment would be carried out on prospective service users. They would then have the opportunity of visiting the home, including for overnight stays, prior to making a decision as to move in or not. Initially service users would move in on a six week trial basis, after which a placement review meeting would be held. There was also a written version of the homes admission procedure. However, this was not in line with the procedure outlined by the acting manager, for instance Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 8 it made no mention of pre admission assessments, or moving in on a trial basis. Further, the procedure did not state whether the home would accept emergency admissions, or outline what the procure would be for emergency admissions. It is required that the home has a clear and comprehensive written admissions procedure. All service users have been issued with a contract/statement of terms and conditions. These have been signed by the service user, and a representative of the home. They include details of services provided, and fees payable. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspectors view that service users have control over their daily lives, and are involved in the day to day running of the home. EVIDENCE: Care plans were in place for all service users. These were generally clear and comprehensive, covering needs associated with health, medication, personal care and social and leisure needs. Plans have been drawn up with the involvement of service users, their family where appropriate, their keyworker and the homes acting manager. There was evidence that plans are regularly reviewed. Risk assessments are also in place for all service users, and these likewise are of a satisfactory standard. They include risks associated with violence and aggression, substance misuse and accessing the community. Assessments identify any risks, and include strategies to manage and reduce these risks. There were also clear individual guidelines in place on managing any challenging behaviours that service users exhibit. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 10 Through observation and discussion there was evidence that service users have control over their daily lives. Service users were able to get up at a time of their choosing, choose what they wanted to wear and what to have for lunch etc. On the day of inspection one service user informed staff that they wished to visit the shops, and this was facilitated. The acting manager informed the inspector that service users were regularly consulted over the running of the home on an ad-hoc basis, for example over menus and activities. More formal arrangements were also in place to seek service users views on the running of the home, including regular service user meetings. These were minuted, and there was evidence that decisions taken at these meetings were subsequently acted upon, for instance the meetings evidenced that service users wanted new carpets, these were then purchased, and service users were involved in choosing them. The home has a policy in place on confidentiality, which makes clear that on occasions a confidence may have to be broken in the health, safety and welfare interests of service users and others. The home also has a policy on Data Protection. Staff spoken to by the inspector demonstrated a good understanding of issues around confidentiality. Confidential records are stored securely, and staff and service users have access to them as appropriate. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspectors view that service users are supported to live valued and fulfilling lives, and that they have regular access to the local community. EVIDENCE: The home has various programmes in place to help develop independent living skills, for example around gardening and cooking, and service users have the opportunity of developing social and emotional skills through their access to the community and various day services. Two service users study drama at a local college, and at the time of inspection were in the process of preparing for a performance of the musical Oliver. Service users informed the inspector that they do not currently wish to be involved with any formal employment opportunities. Two service users are member of Eastsiders Club, which is run by MENCAP. They are both on its committee, and help plan its activities, such as bowling and meals out. Service users informed the inspector that they very much valued this, as it gave them the opportunity of socialising and meeting up with Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 12 friends. Service users access local transport links, including buses, tubes and minicabs, and access local shops, parks and markets. Service users have access to a variety of social and leisure activities, both inhouse and in the community. In house service users informed the inspector that they enjoy listening to music, watching TV and playing board games and puzzles. The home organises parties, for example it recently held a BBQ to celebrate a service users birthday. In the community service users are involved in choosing their own activities, and regularly go swimming, to the cinema, to the gym and for meals out. The records of service users meetings indicated that all three service users wanted to go for a holiday this year, and service users spoken to on the day of inspection confirmed this. As yet, no holidays have been planned, and it is recommended that all service users are offered at least a weeks holiday away from the home each year as part of their basic contract price, that they help to choose and plan. Service users are able to see visitors in the home at any reasonable hour, and can see them in private if they so wish. The home helps to facilitate contact with families, and service users are able to visit their families, including for overnight stays. Service users have access to a telephone they can use in private, and are given their own mail to open. Records are maintained of menus, which service users are able to plan. Records indicated that service users are offered a varied, balanced and nutritious diet, and on the day of inspection food appeared appetizing and healthy. Service users are involved in food preparation, and informed the inspector that they are happy with the quality and quantity of food provided. Fresh fruit was available on the day of inspection, and service users were observed to help themselves to drinks and snacks. Much work has been done around promoting healthy eating, and a dietician has been involved in this process. The kitchen was clean and tidy, and food was stored appropriately. Records are maintained of fridge and freezer temperatures. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is able to meet the personal and health care needs of service users. EVIDENCE: Staff informed the inspector that service users are encouraged to manage their own personal care as much as possible, and this was in line with their care plans. Service users were able to choose what they wore, and were all appropriately dressed on the day of inspection. All service users have a designated keyworker. All service users are registered with a GP, dentist and optician. Health action plans are in place, and records are maintained of medical appointments. These evidenced that service users have access to health professionals as appropriate, including chiropodists and psychiatrists. On the day of inspection one service user had a meeting with their CPN. The inspector spoke with the CPN, who informed the inspector that they were satisfied that the home kept them informed of events as appropriate, and that their recommendations were put into practice. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 14 The home has a comprehensive medication policy, and all staff undertake training before they are able to administer medications. Mediations are stored in a locked cabinet inside the office. Records are maintained of medications entering the home, and of those that are returned to the pharmacist. Medication Administration Record (MAR) charts are maintained, those seen by the inspector appeared to be accurate and up to date. Guidelines were in place on the administration of medications prescribed on a PRN basis, and since the previous inspection hand written entries on MAR charts are now signed for. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has taken steps to ensure the safety and protection of service users, although the home must ensure that its adult protection procedures and comprehensive. EVIDENCE: The home has a complaints log, although the acting manager informed the inspector that the home has not received any complaints since the last inspection. There is also a complaints procedure, this includes timescales for responding to any complaints, and contact details of the CSCI. Service users spoken to demonstrated a good understanding of whom they could complain to if they so wished. The complaints procedure was on display within the home. The home has a copy of the Local Authorities adult protection procedure, and also its own adult protection policy and procedure. The acting manager informed the inspector that any staff member suspected of perpetrating an abuse would be suspended, pending an investigation into the allegations. The inspector considers this to be good practice, yet the policy made no mention of this. It is required that the homes adult protection policy is in line with the actual practice in the home, and in line with current legislation. All staff who work at the home have received training in adult protection issues. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspectors judgement that the homes physical environment is generally suitable to meet its stated purpose. The home is well maintained, and service users have access to adequate communal and private space. EVIDENCE: The home is situated in a residential area of Walthamstow, in the London Borough of Waltham Forest, and is in keeping with other homes in the vicinity. The home is close to shops, transport networks, and other local amenities. The homes communal areas consist of a lounge, dinning room, kitchen and garden. Service users were observed to move freely around communal areas as they wished. The garden had appropriate garden furniture. The home has one shower room and toilet, and one bathroom and toilet. Bathing and toilet facilities are adequate to meet service users needs. On the day of inspection bathrooms were clean, tidy and free from offensive odours. However, there was no lock on the upstairs bathroom, and this must be addressed. The inspector was pleased to note that requirements set around maintenance issues at the last inspection have been met. New carpets have been fitted in Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 17 bedrooms and communal areas, and the front door step has been repaired. The home is now well maintained both internally and externally. All service users have their own bedrooms. On the day of inspection bedrooms were clean and tidy, and service users informed the inspector that they are responsible for keeping their rooms tidy. Rooms were personalised to service users individual tastes. Bedrooms had appropriate natural light and ventilation. Carpets, bedding and curtains were well maintained and domestic in character. Bedrooms had wardrobes, tables and chest of draws. Bedrooms meet National Minimum Standards on size requirements. Service users have been offered keys to their bedroom, however, for one bedroom there is no emergency override device if the service user locks themselves in and leaves the key in the lock. For reasons of safety this must be addressed. The home has a small laundry room, which includes washing and drying facilities, and is separate from the kitchen. Hand washing facilities were situated throughout the home. Protective clothing is available to staff such as latex gloves. COSHH products were stored appropriately on the day of inspection, and the home has a policy on infection control. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the judgement of the inspector that the home is staffed in sufficient numbers to meet service users needs, and that staff have a good understanding of their roles and responsibilities. EVIDENCE: The home provides 24-hour support, including an emergency on-call system. The inspector was satisfied that the home is staffed in sufficient numbers to meet service users needs. There was a staffing rota on display, this accurately reflected the actual staffing situation on the day of inspection. All staff have been provided with a copy of their job description and a copy of the General Social Care Council codes of conduct. Through observation and discussion there was evidence that staff have built up good relationships with service users, and were observed to interact with them in a friendly and professional manner. Regular staff meetings are held and minuted, these include discussions on service user and health and safety issues. All staff are over 21 years old. The home has a policy on equal opportunities, and since the previous inspection now has a policy in place on recruitment and selection. Service users are involved in the recruitment process for new staff. The inspector Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 19 checked staff files at random, and all contained evidence of satisfactory CRB checks and employment references. However, for the most recent member of staff to join the home, there was no proof of ID, such as a passport or birth certificate, and it is required that the home obtains satisfactory proof of ID for all staff prior to them commencing work in the home. Of the eight care staff employed at the home, four have achieved a relevant care qualification, and three more are currently working towards such a qualification. All staff undertake a structured induction programme on commencing working at the home, and there are on-going training opportunities. Recent staff training includes challenging behaviour, first aid, medication and oral hygiene. All staff receive regular formal supervision from either the acting manager or the deputy manager. The acting manager is supervised by the homes consultant. Records are kept of supervision, and staff get a copy of these records. Supervision covers performance, training needs and service user issues. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39, 41,42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector believes that this is a well run home, although a permanent manager must be appointed and registered with the CSCI. EVIDENCE: The home is currently been managed by an acting manager. During the course of the inspection, the inspector spoke with the homes proprietor, who informed the inspector that it was his intention to put forward the acting manager for registration with the CSCI. It is required that the home appoints a permanent manager, and that they are registered with the CSCI. Staff and service users were observed to interact with the acting manager in a relaxed manner, and informed the inspector that they found them to be approachable and accessible. Care plan reviews, service user meetings and staff meetings all contribute to the quality assurance within the home. There was evidence of monthly unannounced Regulation 26 visits taking place, and copies of previous Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 21 inspection reports were available to view in the home. Since the last inspection the home has introduced a system of questionnaires issued to service users to gain their feedback on the running of the home. Completed questionnaires seen by the inspector contained generally positive feedback. Record keeping within the home was of a generally good standard. Confidential records were stored securely, staff and service users can access their records as appropriate. The home has various health and safety polices in place, such as on COSHH and fire safety, and staff attend statutory health and safety training, including food hygiene and first aid. Since the previous inspection the home has obtained a CO2 fire extinguisher, and all extinguishers in the home are regularly serviced. Fire alarms are tested weekly, and the home holds regular fire drills. There is a fire risk assessment in place. The home tests and records hot water and fridge/freezer temperatures, and records are maintained of accidents and incidents. COSHH products were all stored securely on the day of inspection. The home had in date certificates on PAT testing, gas safety and electrical installation. The home had in date employer’s liability insurance cover in place. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 2 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 X 3 3 3 Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA4 Regulation 14 Requirement The registered person must ensure that the homes admissions procedure is fully comprehensive, and accurately reflects the actual practice of admissions. The registered person must ensure that the homes adult protection policy and procedure is fully comprehensive, and in line with current legislation. The registered person must ensure that all bathroom/toilets and all bedrooms are fitted with working locks, and that these include an emergency override device. The registered person must ensure that they obtain proof of ID (passport and birth certificate) for all staff, prior to them commencing working in the home. The registered person must appoint a suitably qualified and experienced permanent manager to the home, and submit them for registration with the CSCI. Timescale for action 31/10/06 2 YA23 13 31/10/06 3 YA24 23 31/10/06 4 YA34 19 31/10/06 5 YA37 8 31/10/06 Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA14 Good Practice Recommendations It is recommended that all service users are offered at least a weeks annual holiday away from the home as part of their basic contract price, and that service users are involved in choosing and planning any holidays. Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springfield Care Home DS0000007315.V301860.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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